Macular hole development in fellow eyes of patients with unilateral macular hole.

Abstract:

PURPOSE:To determine the incidence of developing an idiopathic full-thickness macular hole in fellow eyes that have vitreofoveal attachments and perifoveal vitreous detachment in patients with unilateral idiopathic macular hole. DESIGN:Retrospective cross-sectional observational study. METHODS:The fellow eyes of 201 patients with full-thickness macular holes were examined by optical coherence tomography (OCT). A subset of 58 fellow eyes with vitreofoveal attachments and perifoveal vitreous detachment was observed during follow-up, and the changes in the vitreofoveal attachment within 24 months from the initial OCT examination were investigated. RESULTS:In the 58 eyes, the vitreofoveal relationship changed in 27 eyes. Among the 27 eyes, three eyes developed a full-thickness macular hole, and the other 24 eyes developed a posterior vitreous detachment only over the fovea or a complete posterior vitreous detachment without macular hole formation. The vitreofoveal relationship did not change in 31 eyes during the 24-month period. CONCLUSION:From an analysis of the changes in the vitreoretinal relationship identified by OCT, three (11%) of 27 fellow eyes in patients with unilateral idiopathic macular hole developed a full-thickness macular hole.

journal_name

Am J Ophthalmol

authors

Niwa H,Terasaki H,Ito Y,Miyake Y

doi

10.1016/j.ajo.2005.03.070

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

370-5

issue

3

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(05)00421-6

journal_volume

140

pub_type

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